Poncet's disease: para-infective tuberculous polyarthropathy.

Abstract

needing early diagnosis. Since all women at risk may be identified by their prenatal history screening for presymptomatic carcinoma is possible. We suggest that the best methods are visualising the vagina and cervix, cytology of both vaginal aspirate and cervical scrape, iodine staining, and colposcopy with biopsy of suspicious areas. It is imperative that all physicians treating young women should be aware of these disease processes if the maximum therapeutic benefit is to be achieved.

Tuberculous rheumatism (poncet's disease) in a child

“…Descriptions of large series of patients with this disorder have been published in the Russian and Chinese literature (3,4). Many cases, including 5 in children (2,5), have also been reported in the English-language literature (2,(5)(6)(7)(8)(9)(10). Despite these reports, the concept of a reactive arthritis associated with tuberculosis has remained controversial (1 I), and is not referred to in current textbooks of rheumatology.…”

A case series and review of Poncet's disease, and the utility of current diagnostic criteria

“…Some authorities hence refer to Poncet's disease as a parainfective arthritis rather than reactive arthritis. 10,22 Lofgren's syndrome with bilateral hilar lympadenopathy, erythema nodosum and bilateral ankle arthritis is an important differential diagnosis which closely mimics Poncet's disease. The two diseases may indeed share a common pathogenesis, both being Th1 cell-mediated immune response to a known antigen in TB and unknown in sarcoidosis.…”

The Diagnosis of Poncet's Disease

“…Since 1974, there have been at least 11 English language reports of Poncet's disease describing a total of 19 cases [3][4][5][6][7][8][9][10][11][12][13]. Seven of these have derived from western countries where TB is now uncommon.…”

“…The notion that TB arthritis is exclusively monarticular is a misconception. Emphasis of this characteristic has been deployed to support the diagnosis of Poncet's disease in polyarticular presentations [5]. In two such instances, an affected joint subsequently proved to be a focus of infection [3,7].…”